Laparoscopic Treatment of Patent Omphalomesenteric Duct in Newborns Using a Linear Endoscopic Stapler

Abstract

Purpose

In this work we have described our experience with repair of patent omphalomesenteric duct (POMD) by applying of stapler.

Methods

Between January 2005 and December 2012 we have performed 4 cases of the omphalomesenteric duct repaired through laparoscopy. A stapled resection was accomplished using the linear endoscopic stapler ATW35 with 2.5-mm staples (Ethicon Endo-Surgery, Cincinnati, OH). The operative report and postoperative outcomes were registered .

Results

All patients were newborns. There were 2 boys and 2 girls. The age of patients was ranged from 3 till 10 days of life. All patients were full-term and their weight of the body was ranged from 3200 to 3800 grams. The postoperative course was uneventful in the all patients. All the bowels after resection were fully functional at the end of the study.

Conclusion

The advantages of this technique are the operative time reduction and the 100% removal of an intestinal mucosa after an eversion of the POMD.